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논문검색

학회지 > 논문검색
논문 검색
In Chang Cho, M.D.
Bando-eye Aesthetic Clinic, Seoul, Korea
Lower Blepharoplasty in Aged Persons
J Korean Soc Aesthetic Plast Surg 2010 (Jun) 016(01) 57-63
Blepharoplasty, Aged, Eyelids, Rejuvenation, Face lift
Ksaps016-02-01.pdf Ksaps016-02-01.pdf
With increase in average life expectancy, more patients of an older demographics are undergoing
periocular facial rejuvenation procedures. One of the most common procedures performed for
periocular rejuvenation is the lower blepharoplasty. One of the most common and challenging
postoperative complication after this procedure is lower lid retraction. The degree of lower lid
retraction can be presented in a varying range from lateral canthal rounding and scleral show to
cicatrical ectropion. Causes of lower eyelid retraction seem to be multifactorial and there are a variety
of surgical approaches for correction of lower eyelid retraction. According to the cause and degree of
lower lid retraction, the author must incorporate a customized approach for each deformity.
Techniques used to correct lower lid retraction include midface lift, lateral canthopexy or canthoplasty,
oculi muscle suspension, and a spacer graft. To effectively correct the retraction, the surgeon
must have a sound understanding of the anatomy of lower eyelid. Technically, key essential
fundamentals to correct lower lid retraction include: knowledge of elevating the mid face, anchoring
the lateral canthal tendon securely, and proper insertion of the spacer graft. The author presents
multiple techniques to correct significant postsurgical lower lid malposition without the use of skin
grafts. (J Korean Soc Aesthetic Plast Surg 16: 57, 2010)
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반도아이성형외과
노화가 나타난 환자들에서의 하안검 교정술
2010 (Jun) 016(01) 57-63